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General NPI Number Information
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NPI Number | 1699516625
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Entity Type | Organization
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Legal Business Name | HOLISTIC MENTAL HEALTH, INC.
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 2210 RIVER RUN DR UNIT 67
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City | SAN DIEGO
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State | CA
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Zip | 92108-5812
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Country | US
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Telephone | 619-559-5884
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 RIVER RUN DR UNIT 67
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City | SAN DIEGO
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State | CA
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Zip | 92108-5812
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Country | US
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Telephone | 619-559-5884
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID LINDLEY
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Credential | NP
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Telephone | 619-559-5884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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